Eugene Fantl, MD - Medicare Pediatrics in East Hartford, CT

Eugene Fantl, MD is a medicare enrolled "Pediatrics" physician in East Hartford, Connecticut. His current practice location is 99 Ash St, East Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 282-3859.

Eugene Fantl is licensed to practice in Connecticut (license number 019762) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255337465.

Contact Information

Eugene Fantl, MD
99 Ash St,
East Hartford, CT 06108-3226
(860) 282-3859
(860) 282-8574



Physician's Profile

Full NameEugene Fantl
GenderMale
SpecialityPediatrics
Location99 Ash St, East Hartford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255337465
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 07/15/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5799800710
  • Enrollment ID: I20100915000103

Medical Identifiers

Medical identifiers for Eugene Fantl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255337465NPI-NPPES
1197623MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 019762 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eugene Fantl allows following entities to bill medicare on his behalf.
Entity NameGenerations Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228905
PECOS PAC ID: 4880640630
Enrollment ID: O20050324000979

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eugene Fantl is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eugene Fantl, MD
65 Kane St, Provider Enrollment,
West Hartford, CT 06119-2110

Ph: (860) 523-6421
Eugene Fantl, MD
99 Ash St,
East Hartford, CT 06108-3226

Ph: (860) 282-3859

News Archive

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Frozen fecal transplantation is effective at providing relief to Clostridium difficile (C. diff) patients, according to a new study co-authored by University of Guelph researchers.

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Researchers at UT Southwestern Medical Center have discovered genetic pathways to starve selectively kidney cancer cells.

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Pediatrics Doctors in East Hartford, CT

Dr. Sheikh Irfan Ahmed, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 580 Burnside Ave, Suite 4, East Hartford, CT 06108
Phone: 860-528-5068    Fax: 860-528-2341
Dr. Jayashree Venkatesh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 893 Main St, Suite 303, East Hartford, CT 06108
Phone: 860-289-3047    Fax: 860-528-4735
Dr. Latesha I Dawson Thomas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 99 Ash St, Uconn Medical Group-pediatrics, East Hartford, CT 06108
Phone: 860-282-3859    Fax: 860-282-8574
Larry Scherzer,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 99 Ash St, East Hartford, CT 06108
Phone: 860-282-3859    

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